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INDEX

References are to paragraph numbers except where specified otherwise.

acquired immunodeficiency syndrome (AIDS), 4-17b
adaptation

combat skills, 2-8a
decline of, 2-8d
restoration of, 2-8e
optimal combat skills, 2-8b
overstressed veteran, 2-8c
phases of adaptation to combat, Figure 2-2
stage of alarm, 2-7a
stage of exhaustion, 2-7c
stage of resistance, 2-7b
stages of adaptation to a threatening situation, 2-7

aerobic fitness, 2-4a(2)
after-action debriefing, 9-5f, A-2c, A-4b(3)

caution, 6-2h
small group, Table 6-2, 6-2f--g

air dimension and battle fatigue, 10-2g
Aleutian Islands, 1-4b(3)
amnesia, 5-3d
antiterrorism, 9-4a(2)
Army band, 1-7d, Appendix C

military ceremonies, C-6
mission, C-4
religious support, C-7

Army combat operations (engagement), 9-1b(2)
Army defensive operations, 8-4

battle fatigue, 8-5
battle fatigue casualties, 8-5
stress, 8-5

Army Medical Department functional areas, B-1
Army offensive operations

battle fatigue, 8-3a
stress, 8-2a, 8-3a

Army operations, 7-4a

basic tenets, 7-4a(1)
agility, Table 7-1
depth, Table 7-1
initiative, Table 7-1
synchronization, Table 7-1
versatility, Table 7-1
endurance, 7-5
other than war, Table 1-1, 1-3c, 1-4c--d, 1-5e, 7-3a, 9-1
types of operations, 9-5a
combatting terrorism, 9-4
terrorist, 9-1b
terrorist and guerrilla tactics and stressors, 9-1b(1)
terrorist attack, stress control issues and recommendations, Table 9-2
terrorist threat, 9-4a
counterinsurgency operations, 9-2a
Foreign Internal Defense, 9-3
Internal Defense and Development, 9-3
mental health considerations, Table 9-3
insurgency operations, 9-2a--b
special operations force, 9-2b
stress considerations, Table 9-2
stress control, Table 9-2
peacemaking operations, 9-5g
peacetime contingency operations, 9-5
attacks and raids, 9-5b
disaster relief operation, 9-5e
noncombatant evacuation operations, 9-5f
rescue and recovery operations, 9-5d
show of force, 9-5c
stress control, 9-1a, Table 9-6
stress problems, 9-6
stress producing aspects, Table 9-1
retrograde operations, stress, 8-4f
stress issues, Table 7-1

atrocities by the enemy, 4-19k
battle fatigue, 1-1, 1-4c(1), 1-5d--e, 1-9, Table 2-2, 2-6e, 2-8, 2-9a, 2-9d, 2-10, 2-11a--c, 4-13d, 4-16, 4-17b, 4-19g--i, 4-20a, Chapter 5, 6-1e, 6-2h(3), 7-1, 9-2a(2)

casualties, 2-11c, 10-2f, D-3--4
common signs and warning signs, Appendix E
contributing factors, 5-2
cumulative exposure, 5-2b
home front and preexisting problems, 5-2d
physical stressors and stress symptoms, 5-2c
sudden exposure, 5-2
definition, 2-9d, p. E-3
forms of
anxious, 5-3b
depressed, 5-3c
disruptive, 5-3g
psychosomatic, 5-3f
internal conflict of motives, 5-2e
label, 5-4
loss of confidence, 5-2e
memory loss, 5-3d
physical function disturbance, 5-3e
prevention, 11-1--2, Appendix E
restoration treatment, 8-3e
risk factors
casualties in the unit, A-4a
cumulative combat exposure, A-12
first exposure to a major stressor, A-3a
immobility, A-6
signs and symptoms, 5-3, 5-4b, 5-4f
lack of information, A-7
manage the old veteran or short-timer syndrome, A-12b
NBC threat and use, A-8
physically run down, A-10a
dehydration, A-10a(1)
diet, A-10a(2)
poor hygiene, A-10a(3)
stress-related illness, A-10a(4)
problems and uncertainties on the home front, A-1
sleep loss, A-9a. (See also sleep.)
soldier is new to the unit, A-2
under attack and unable to strike back, A-5a
sublabeling, 5-4d--e, Appendix E
duty, 5-4d
heavy, 5-4d
hold, 5-4d
light, 5-4d
refer, 5-4d
rest, 5-4d
treatment
initial, 5-4b
response to, 5-5a
success rate, 5-5d

battle losses, A-4b
Battle of Okinawa, 1-4b(2)
Battle of the Bulge, 1-4b(4)
battle paralysis, 10-2a
battle shock, 5-1c, 10-2a, p. E-5
battle stress, 1-6d
behaviors, stress induced, 4-7d
bonding, 3-7

horizontal, 3-8, 3-9b, A-2a(3)
personal, 3-7, A-2a(4)
vertical, 3-8, 3-9b

burnout, 6-1b
casualty care, p. E-12
catastrophic events, Table 1-1
ceremonies

military, C-6
religious, C-7

chain of command, 1-7b, 7-2c, A-7b
chaplain, 1-1, 1-3a, 1-3c, 1-4d, 1-5b, 1-7e, 1-9, D-1, D-5b

assistant, D-1

clinical psychologist, 1-8a, B-4d
cohesion, 3-7. (See also unit cohesion.)

cohesive units, 1-7a
operational readiness training, 3-8b
team cohesion, 3-9a

combat capability, 1-5d
combat exhaustion, 1-4b(2)
combat fatigue, 2-9d
combat lifesaver, 1-3a
combat reaction, 5-1c
combat refusal, 4-13a
combat service support, 1-4b(3), 5-4e(4), 8-2a(1), 8-3d, 9-5i
combat stress, 1-2a, 4-3, Appendix E

behaviors, Table 2-2, 2-9--10
heroism, 3-11a
positive, 2-2, 2-4, 2-9, 2-11e, 3-11a, 3-12
and PTSD relationship, Figure 2-4
control, 1-1, 1-3, D-1
in Army operations, B-4g
preventive team, B-4d--f
program, 1-9, B-2a
restoration team, B-4d(2), B-4f
controlled, 1-2a
prevention, B-4g
reaction, 2-2e(2), 2-5c, 2-9d, 5-1
symptoms, 5-1
uncontrolled, 1-2a

combat stress control functions, B-2b

consultation, B-2b(1)
reorganization (reconstitution) support, B-2b(2)

combat support, 8-3d
combat zone, 4-18c
command and control, 10-2f
communications, 10-2e
communications zone, 1-3b, 1-8a, 4-18c
conflict fatigue, 5-4c, Appendix E
contingency operations, 7-2c--d
continuum of Army Life, 1-3, B-5

location, 1-3b, B-5
mission, 1-3c, B-5
responsibility, 1-3a, B-5

corps, B-4f(4)
counterfatigue measures, A-9b(5)
courage, 1-5a
crisis fatigue, 5-4c
crisis stress control, 1-4d
critical events debriefing, 2-11f, 6-2g

cautions, 6-2h

critical incident debriefing, 9-4c(2)
cultural differences, 4-19m
Department of Veterans Affairs, 1-3b
disease and nonbattle injuries, 1-5d
division mental health, B-4g(2)
esprit de corps, 1-4b(4), 3-9a
family support group, 7-2c(2)(b)
fatigue, 2-6

center, B-4e
emotional, 2-6f(2)
field, 5-4c
mental, 2-6c
physical, 2-6f(1)
simple, 5-3a

fight or flight reflex, 2-2c, 2-6e, 2-7a
force, 9-5c
fragging, 1-4c(2)
fraternization, 4-9a, A-2b(4)
fratricide, 10-2c, 10-3e(1)(l)
fugue state, 5-3d
gas hysteria, 1-4a(1) (a)2
gas mania, 1-4a(1)(a)2
grief process, D-5c
heat acclimatization, 2-4a--b
high-tech battlefield, 1-6

challenge
of higher rates of casualties, 1-6b
of human-technological imbalance, 1-6c
of isolation, 1-6a
of mental rigors of combat, 1-6d
of the battlefield, 1-6

high-tech weapons, 10-2d
home station, 1-3b
horizontal bonding. (See bonding.)
hospital

base, 1-4a
neurological, 1-4a

host nation, 7-2b
human endurance, 1-6d
in brief, new arrival, A-2b
Information

flow, A-7b
public affairs, 4-20a

Iraq, Table 1-1, 1-6
Israeli Defense Force, 1-4a--b
Joint and combined operations, 7-2b

battle fatigue casualties, 7-1, 7-2b(1), 7-2d
misconduct stress behaviors, 7-1, 7-2b(1)

junior leaders, 1-1, Table 1-2, Table 1-3, 1-7b, 1-7c, Table 7-1, 11-3
Kuwait, 1-6
Law of Land Warfare, 2-9c, 4-3, 4-20a, 11-1

violations, 4-3

leadership, 1-1, 1-2a, 1-2c, 1-4a--b, 1-5e, 1-7b, 11-2a
Lebanon invasion, 1-4b(6)
lessons learned, A-2c(2)(d)
malingerers, 4-16
medical

brigade, B-4f(4)
company, combat stress control, B-4d, B-4f
detachment, combat stress control, B-4d--e
group, B-4f(4)
personnel, Table 1-6, 1-7f

medics, 1-3c, 1-5b
mental health/combat stress control

personnel, 1-1, 1-3, 11-2b, B-2a
team, 1-8a

misconduct stress behavior, 1-4c(2), 1-5e, 1-9, Table 2-2, 2-9c, 2-10, 2-11d, Chapter 4, 5-1b, 7-1, 8-3f, D-4, D-5a, p. E-4

being absent without leave or deserting, 4-12
fighting with allies or United States forces, 4-11
killing enemy prisoners, 4-5
killing noncombatants, 4-10
looting, pillage, and rape, 4-8
mutilating enemy dead, 4-6
no prisoners, 4-4
refusing to obey an order, 4-13
threatening to kill or killing unit leaders and other soldiers, 4-14
using excessive force or brutality, 4-7

mission-oriented protective posture. (See nuclear, biological, and chemical.)
mobile psychiatric detachment, 1-4a(3)
morale

indications of poor morale in a unit, 4-2
support, C-1

muscle strength, 2-4a(3)
National Command Authority, 7-2b(2), 9-5c
neuropsychiatric casualty, 1-4b(3)
noncommissioned officer, 1-3a
not yet diagnosed, nervous, 1-4a(1)(a)1
nuclear, biological, and chemical

biological warfare, 10-3c
infectious organisms, 10-3c(3)
mycotoxin (yellow rain), 10-3c(1)
isolation and loss of unit cohesion, 10-3e(1)(m)
mission-oriented protective posture, 10-3e
flexible, A-8b(4)
level, A-8b
training, A-8b(8)
nuclear warfare, 10-3b
nuclear winter scenario, 10-3b(2)
overreaction battle fatigue, 10-3e(1)(b)
congregating in safe area, 10-3e(1)(i)
excessive anxiety and phobic avoidance, 10-3e(1)(g)
excessive decontamination (obsessive compulsive cleaning), 10-3e(1)(h)
malingering, 10-3e(1)(d)
panic flight, 10-3e(1)(e)
risk to leaders, 10-3e(1)(l)
rumors, 10-3e(1)(f)
stress reaction, 10-3e
suspiciousness, 10-3e(1)(k)
threat, 10-3a
contingencies and preparation, A-8b
underreaction, 10-3e(2)
denial, 10-3e(2)(a)
false alarm, 10-3e(2)(d)
fatalism, 10-3e(2)(c)
intellectualization, 10-3e(2)(g)
overconfidence, 10-3e(2)(e)
pie in the sky, 10-3e(2)(f)
rationalization, 10-3e(2)(b)
weapons, 1-6b, 1-6d

occupational therapy officer, 1-8a, B-4d(2)
operations other than war. (See Army operations.)
peacetime contingency operations. (See Army operations, other than war.)
personal bonding. (See bonding.)
physical fitness, p. E-4, p. E-12
physical well-being of troops, A-10b
post-traumatic stress disorder, 1-4c(2), 2-11, Chapter 6, 9-4a(3), 10-1, A-2c, B-4g(3)

acute, 6-1d
chronic, 6-1d
delayed, 6-1d
diagnosis, 6-1c, 6-1e
diagnostic criteria, Table 6-1
flashback, 6-2d
leaders responsibility to prevent, 2-11f
mental health/combat stress control personnel responsibilities, 6-4
preventive measures, 2-11b
symptoms, 6-2d

post-Vietnam syndrome, 6-1a
preventable disease and nonbattle injuries, 4-17b
psych casualty, p. E-5
psychiatric nurse, 1-8a, B-4d
psychiatrist, 1-8a
psychological

stress, 1-5e
trauma, 6-2a
preventive treatment, 6-2e

psychotic, 1-4b(3)
public affairs, 4-20a, 9-1c(2), A-7b(2)
racial and ethnic tension, 4-19l
rapid deployment, 7-2c(2)(a)
recognition, 3-4b

awards, 3-4b
desire for, 3-4b

reconstitution, D-5c
religious faith, 3-6
religious support, D-3
rest and recuperation, 1-4c(1)
rules of engagement, 7-2f
self-esteem, 2-5a
self-inflicted wound, 4-17a
senior leaders, 1-1
sense of eliteness, 3-4
sense of purpose, 3-5
sensors, 10-2e
sexual favoritism, 4-9a
sexual misconduct, 4-9a(1)
sexually transmitted diseases, 4-17b
sleep, 2-6b, 8-3c

discipline, A-9b, p. E-13
plan, 7-2h
planning, A-9b

social work officers, 1-8a
Soviet CONOPS, 1-4b(5)
Soviet-type offensive doctrine, 10-2a
sponsor, A-2b(1)
staffS1/G1, Table 1-4
staff S2/G2, Table 1-4
staff S3/G3, Table 1-4
staff S4/G4, Table 1-4
staff S5/G5, Table 1-4
standards of conduct, 11-5a
stress, 1-2d, 1-4b(3), 2-2c, 2-5, D-1, D-2

appraisal, 2-2d
combat, 2-2g
control, 1-3b, 1-3c, 11-3
misconduct prevention, 11-5
objectives, 1-2e
relaxation techniques, 11-4b
responsibilities of
chaplains, Table 1-5
combat stress control units, Table 1-7, 1-8a
individual, 11-4a
junior (direct) leaders, Table 1-3, 1-7b--c
mental health/combat stress control personnel, 1-8
senior leaders, Table 1-2, 1-7b
staff, Table 1-4, 1-7d
team, 9-4c(1)--(2)
unit leaders, 11-3a
unit medical personnel, Table 1-6
debriefings, 1-4d
excessive, warning signs, 4-7e(2)
extreme, 2-5b
fatigue, 5-4c, p. E-5
levels, 1-2f(6)
positive, 2-4
reaction, 2-5c

stressors, 1-2a, 2-2, 2-5a, 11-1

cognitive, Table 2-1, 2-4d
combat, 2-2b
emotional, Table 2-1, 2-4d
environmental, Table 2-1
mental, Table 2-1, 2-2e, 2-3a, 2-3c--d, 2-4d
negative, 2-2a
overstrain, 2-4b
physical, Table 2-1, 2-2e, 2-3, 2-4c
physiological, Table 2-1, 2-3a
positive, 2-2a
tactical standing operating procedures, 2-3d
tolerance, 2-4e

substance abuse, 4-18

amphetamines, 4-18d
anabolic steroids, 4-18b
atropine, 4-18b
dependency/addiction, 4-18c
detoxication, 4-18c
hallucinogenic drugs, 4-18b
intoxication, 4-18b
prevention and control, 4-19
related problems, 4-18b
stimulants, 4-18b

Suez Canal, 1-4b(5)
suicide

gestures, 4-16d
threat, 4-16d

sustained operations, 7-2h
task-organized combat stress control element, B-4f
terrorism, 9-4a. (See also Army operations, other than war, combatting terrorism.)
Third World countries, 7-3a
threat, 1-5e, 7-2a, 7-3a, A-5b. (See also nuclear, biological, and chemical threat.)

protective measures, A-6b

training, 1-3c, 2-4b(2), 2-4c, 6-2f(3), 7-2g, 11-2b, A-3b(2), A-4b(2), D-1, Appendix E

COHORT, 3-8b
MOPP, 2-4a(1), A-8b(7)--(8), A-8b(10)--(14)
tough, realistic, 1-7a, 4-20a, A-3b(1), A-3b(4)

Uniform Code of Military Justice, 2-9c, 2-10, 4-7e(1), 4-9b, 11-5a
unit cohesion, 1-2a, 1-5e, 4-7c, 4-7e(2), 4-9a(1), 4-19o, 4-20a, 5-2d(2), 11-1, A-2a(4), A-2b, p. E-12

cohesiveness, 1-4b(4)
esprit, A-2a(4). (See also esprit de corps.)
leader, Table 1-2, Table 1-3
pride and identity, A-2b(2)
self-image, 4-20b

United States Army Surgeon General, 1-4a(1)(a)
urban combat, 7-2e
veteran and short-timer syndrome, A-12b
victims, 9-4c
Vietnam, 1-4c

battle fatigue, 1-4c(1)
My Lai, 1-4c(2)
neuropsychiatric casualties, 1-4c(2)
stress, 1-4c(2)

war, 1-3c

battle fatigue factors, Table 10-1
crimes, 4-6b, 4-7a, 4-10b
lines of operations, 10-2c
neurosis, 6-1a
stress producing aspects, Table 10-1
sustained operations, 10-1

water discipline, A-10b(1)
World War I, 1-4a(1)

stress, three echelon system, 1-4a(1)(a)--(b)
first echelon, 1-4a(1)(a)1
second echelon, 1-4a(1)(a)2
third echelon, 1-4a(1)(a)3

World War II, 1-4a(2)

division psychiatrist, 1-4a(2)
Pacific Theater, 1-4b(3)
regimental surgeon, 1-4a(2)
shell shock, 1-4a(1)(a)1
training and rehabilitation center, 1-4a(2)
war neurosis, 1-4a(1)(a)1

Yom Kippur War, 1-4b(5), 5-2d(3)